| NPI | 1053569541 |
|---|---|
| Former Name | MELANIE DAWN ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA C145924) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 669125) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2017-01-17 |