| NPI | 1801025325 |
|---|---|
| Former Name | MELISSA M PETERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: MI 4301095226) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301095226) |
| 207P00000X Emergency Medicine (Licence: MI 4301095226) | |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2018-05-30 |