NPI | 1871655431 |
---|---|
Former Name | MELODY JAN SNYDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 28555) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 23555) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2021-09-17 |