NPI | 1740501568 |
---|---|
Former Name | MELISSA BETH RICHARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036138782) |
Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: IL 036138782) |
Enumeration Date | 2010-06-15 |
Last Update Date | 2017-01-02 |