NPI | 1902300486 |
---|---|
Former Name | MELISSA SAAB VANCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MT 112516) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 57.245512) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-20 |
Last Update Date | 2023-10-06 |