| NPI | 1700147352 |
|---|---|
| Former Name | MELISSA ROTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA a122243) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0071558) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2023-10-23 |