NPI | 1669641692 |
---|---|
Former Name | MELINDA B SARGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS11250) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT12341) |
Enumeration Date | 2008-02-24 |
Last Update Date | 2023-08-07 |