NPI | 1922128222 |
---|---|
Former Name | MELISSA BALUN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 5101016355) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX N5551) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5101016355) | |
Enumeration Date | 2007-03-30 |
Last Update Date | 2011-08-10 |