NPI | 1598376493 |
---|---|
Former Name | MELISSA N. CROSKEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: FL F01138) |
Enumeration Date | 2020-08-13 |
Last Update Date | 2020-08-13 |