NPI | 1548551906 |
---|---|
Former Name | MELANIE LYN FREEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: KS 04-37843) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD0000051635) |
Enumeration Date | 2011-04-20 |
Last Update Date | 2022-03-24 |