NPI | 1770246084 |
---|---|
Former Name | MELISSA ERIN SIBLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH LE-00037367) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH APRN.CNP.0029992) |
Enumeration Date | 2021-10-14 |
Last Update Date | 2023-03-30 |