NPI | 1558892265 |
---|---|
Former Name | MELISSA PAVELACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MI 5101028320) |
Enumeration Date | 2017-03-23 |
Last Update Date | 2024-10-28 |