NPI | 1457767584 |
---|---|
Former Name | EMILY ANN MELOCHE JUSTUSSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD195374) |
Enumeration Date | 2014-07-09 |
Last Update Date | 2019-12-10 |