| NPI | 1659370054 |
|---|---|
| Former Name | MELISSA HARRISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 427643) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME120938) |
| 207Q00000X Family Medicine (Licence: AZ 55633) | |
| 207Q00000X Family Medicine (Licence: TX S1789) | |
| 207Q00000X Family Medicine (Licence: PA MD467246) | |
| 207Q00000X Family Medicine (Licence: CA C160767) | |
| 207Q00000X Family Medicine (Licence: NY 297261) | |
| 207Q00000X Family Medicine (Licence: UT 10643560-1205) | |
| 207Q00000X Family Medicine (Licence: MN 63229) | |
| 207Q00000X Family Medicine (Licence: CO CDR.0000056) | |
| 207Q00000X Family Medicine (Licence: IL 036.144848) | |
| 207Q00000X Family Medicine (Licence: NV 17620) | |
| 207Q00000X Family Medicine (Licence: SD 10717) | |
| 207Q00000X Family Medicine (Licence: MT MED-PHYS-LIC-61050) | |
| 207Q00000X Family Medicine (Licence: IA MD-44868) | |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2019-10-21 |