| NPI | 1538606520 |
|---|---|
| Former Name | MELISSA ANNE EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 61210) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 61210) |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2022-08-08 |