| NPI | 1477672921 |
|---|---|
| Former Name | MELISSA MARIE TEIGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ND 11218) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 49747) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2025-10-17 |