| NPI | 1003101536 |
|---|---|
| Former Name | MELISSA ANN VONDERHEIDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024169415) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024169415) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2021-07-09 |