| NPI | 1992982482 |
|---|---|
| Former Name | MELISSA CARYN EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 064574) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 002651) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2010-07-02 |