| NPI | 1023280377 |
|---|---|
| Former Name | KELLY MELISSA SANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 20621) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 20621) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2025-12-30 |