| NPI | 1639435498 |
|---|---|
| Former Name | STEPHANIE ANN MELBOURNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: FL ME123197) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME123197) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2018-06-14 |