NPI | 1669648416 |
---|---|
Former Name | MELISSA A. HENDRICKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NY 283867) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2009-01004) |
Enumeration Date | 2008-05-01 |
Last Update Date | 2024-02-08 |