NPI | 1407415789 |
---|---|
Former Name | MELANIE SMALLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2024-01070) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5151013533) |
Enumeration Date | 2019-06-10 |
Last Update Date | 2024-07-01 |