| NPI | 1043752579 |
|---|---|
| Former Name | MELODIE GRAHAM HANKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20670) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 107384) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2023-05-10 |