| NPI | 1053393066 |
|---|---|
| Former Name | MELISSA SUE GARRISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9270004) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704194300) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2023-08-29 |