NPI | 1801115100 |
---|---|
Former Name | MELISSA A JEFFERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD160989) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2010-05-26 |
Last Update Date | 2021-03-15 |