| NPI | 1043835226 |
|---|---|
| Former Name | MELISSA GAVIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019033) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95138290) |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2023-07-28 |