| NPI | 1720436678 |
|---|---|
| Former Name | MELISSA ARVILLA FUELLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-13971) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MRM-1578) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2023-12-15 |