NPI | 1992168256 |
---|---|
Former Name | MELANIE DABAKIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NY 239299) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA11458500) |
Enumeration Date | 2016-04-03 |
Last Update Date | 2022-05-04 |