| NPI | 1043832785 |
|---|---|
| Former Name | MELANIE GLANDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: IL 209.020974) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: IL 209.020974) |
| Enumeration Date | 2020-05-16 |
| Last Update Date | 2023-08-17 |