| NPI | 1043867229 |
|---|---|
| Former Name | MELISSA HINES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5014432) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95012012) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2021-06-04 |