| NPI | 1588838031 |
|---|---|
| Former Name | MELANIE RAE FLORES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 02477) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NM A-1816-14) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2014-06-04 |