NPI | 1518057868 |
---|---|
Former Name | MELISSA FAITH GAME |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2010-01132) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: SC TL31580) |
Enumeration Date | 2006-10-14 |
Last Update Date | 2020-10-27 |