| NPI | 1528472404 |
|---|---|
| Former Name | MELISSA J ROUSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 90861) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 29065) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2025-02-03 |