NPI | 1518283944 |
---|---|
Former Name | MELODY ANTOINETTE BURNS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036134530) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036134530) |
Enumeration Date | 2010-04-09 |
Last Update Date | 2017-03-30 |