NPI | 1689036386 |
---|---|
Former Name | MELODIE MARIE MINTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX S1445) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX S1445) |
Enumeration Date | 2016-03-22 |
Last Update Date | 2023-09-18 |