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 |