| NPI | 1477139061 |
|---|---|
| Former Name | MELISSA MARY MICHAUD |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 34.017291) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2024-05-27 |