NPI | 1598929945 |
---|---|
Former Name | MELISSA ANN STEVENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: KS 05-35234) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2011025937) |
207R00000X Internal Medicine (Licence: KS 05-35234) | |
208M00000X Hospitalist (Licence: MO 2011025937) | |
Enumeration Date | 2008-07-15 |
Last Update Date | 2014-06-11 |