| NPI | 1760913057 |
|---|---|
| Former Name | MELANIE LORETTA BURNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS16693) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2021-08-10 |