NPI | 1811492879 |
---|---|
Former Name | MELANIE GROOMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: ID M-17180) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-03-29 |
Last Update Date | 2024-02-13 |