NPI | 1457453409 |
---|---|
Former Name | NICOLE DIANE MELENDEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME103417) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: LA MD202522) |
207R00000X Internal Medicine (Licence: MO 2004016743) | |
Enumeration Date | 2006-09-01 |
Last Update Date | 2021-10-05 |