| NPI | 1790947596 |
|---|---|
| Former Name | MELISSA AUGUSTINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 31065) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL31065) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2024-02-27 |