| NPI | 1740840636 |
|---|---|
| Former Name | MELISSA SUE WILKINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 2607) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-11631) |
| 207R00000X Internal Medicine (Licence: NE 2607) | |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2022-07-18 |