NPI | 1861595050 |
---|---|
Former Name | MELINDA ANN NIEBUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35-08-2970-N) |
Enumeration Date | 2006-09-06 |
Last Update Date | 2014-10-20 |