| NPI | 1831196914 |
|---|---|
| Former Name | MELISSA MICHELLE GOODENOUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX p4013) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 232169) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2024-03-25 |