| NPI | 1609096478 |
|---|---|
| Former Name | MELISSA M MANNING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA 39755) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: VA 0101247778) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2021-11-29 |