NPI | 1699090092 |
---|---|
Former Name | MELINDA C CUSHING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: OR MD151435) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2010-03-29 |
Last Update Date | 2015-03-13 |