| NPI | 1477672921 |
|---|---|
| Former Name | MELISSA MARIE TEIGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ND 11218) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: MN 49747) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2013-07-31 |