NPI | 1689017717 |
---|---|
Former Name | MELISSA NICOLE NOBLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0060273) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301109023) |
Enumeration Date | 2013-04-08 |
Last Update Date | 2018-08-22 |