NPI | 1497066963 |
---|---|
Former Name | MELISSA MARIE AUSTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 5101018864) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101018864) |
Enumeration Date | 2010-06-29 |
Last Update Date | 2023-02-10 |