NPI | 1952729824 |
---|---|
Former Name | MELISSA LUEDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 83360-20) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101259062) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-03-28 |
Last Update Date | 2024-11-06 |