| NPI | 1023055845 |
|---|---|
| Former Name | MELISSA FANELLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 616781) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 616781) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2024-05-20 |