NPI | 1831551332 |
---|---|
Former Name | MELISSA JOY BROOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.147330) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.147330) |
Enumeration Date | 2016-03-23 |
Last Update Date | 2022-02-28 |