NPI | 1811336597 |
---|---|
Former Name | CHLOE MELLECKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-43376) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301103197) |
208000000X Pediatrics (Licence: IA MD-43376) | |
Enumeration Date | 2013-06-17 |
Last Update Date | 2019-10-29 |