| NPI | 1992932149 |
|---|---|
| Former Name | MELISSA MARIE BOONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX S3241) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101019090) |
| 207V00000X Obstetrics & Gynecology (Licence: CA 20A15522) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2022-06-22 |