| NPI | 1033572938 |
|---|---|
| Former Name | MELISSA MASON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2015043764) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2015043764) |
| 363L00000X Nurse Practitioner (Licence: IL 209013822) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2015043764) | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2017-03-06 |