| NPI | 1821331836 |
|---|---|
| Former Name | MELISSA NIEDFELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 284120) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 133705) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2021-05-19 |