NPI | 1669585170 |
---|---|
Former Name | MELANIE A CELESTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: OH 35-083052) |
Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: CT 67122) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2020-12-09 |