| NPI | 1689636557 |
|---|---|
| Former Name | FAWN MELANIE JUVINALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OR MD25195) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD25195) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2021-03-25 |