NPI | 1952319543 |
---|---|
Former Name | MELODY DAWN MEANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 24090) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OK 24090) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2012-02-06 |