| NPI | 1750657748 |
|---|---|
| Former Name | ELIZABETH ANN MELIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX R2546) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.137375) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-03-24 |
| Last Update Date | 2021-01-11 |