NPI | 1881788180 |
---|---|
Former Name | MELISSA A. MARQUARDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WY TL4446) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WI 51837-20) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2018-10-17 |