NPI | 1841788403 |
---|---|
Former Name | MELISSA MARIE ROLFSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2022-00426) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 238387) |
Enumeration Date | 2018-04-28 |
Last Update Date | 2022-04-12 |