NPI | 1437561958 |
---|---|
Former Name | MELANIE L MCQUEEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301117521) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2014-06-02 |
Last Update Date | 2021-04-07 |