NPI | 1740007061 |
---|---|
Former Name | MELANIE MCGEHEE CAMPO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: IN 186728) |
Enumeration Date | 2024-09-26 |
Last Update Date | 2024-11-05 |