| NPI | 1902284177 |
|---|---|
| Former Name | MELIA DOROTHY HERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME139164) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2019-07-19 |