| NPI | 1932580909 |
|---|---|
| Former Name | MELINDA MECHELLE MAILE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01088779A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301500878) |
| 207Q00000X Family Medicine (Licence: IN 11018213A) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11018213A) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301111076) | |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2023-01-04 |