| NPI | 1760657860 |
|---|---|
| Former Name | MELISSA B MONCAVAGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC NC 2011-01258) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: DC 390200000X) |
| 207W00000X Ophthalmology (Licence: PA 436555) | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2014-09-25 |