| NPI | 1508209040 |
|---|---|
| Former Name | MELINDA CARMICHAEL FRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML60358739) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2017-10-26 |