NPI | 1851413397 |
---|---|
Former Name | MELISSA ANN MARCHIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: KS 94-06652) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2011022963) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2025-07-09 |