| NPI | 1447295233 |
|---|---|
| Other Name | JANE KERNIE MELLOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60265218) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME88247) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2021-06-08 |