NPI | 1801235742 |
---|---|
Former Name | MELISSA PRATHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 63271) |
Enumeration Date | 2013-06-24 |
Last Update Date | 2025-01-15 |