| NPI | 1003835547 |
|---|---|
| Former Name | MELANIE ELAYNE KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 16412) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 16412) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2022-05-19 |