| NPI | 1932365525 |
|---|---|
| Former Name | MELISSA BUCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SD 8770) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IA 39064) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125-053727) | |
| Enumeration Date | 2008-08-02 |
| Last Update Date | 2022-03-25 |