| NPI | 1821026667 |
|---|---|
| Former Name | MELISSA ANN STEPHENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MI 4301061790) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301061790) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2024-10-24 |