NPI | 1538335443 |
---|---|
Former Name | AMBER MELISSA ROSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WA OP60436404) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR DO29349) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: OR DO29349) | |
Enumeration Date | 2008-05-01 |
Last Update Date | 2024-03-07 |