| NPI | 1447396619 |
|---|---|
| Former Name | MELISSA ANNE JERDONEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: VA 0101252517) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101252517) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2019-08-09 |