| NPI | 1053712513 |
|---|---|
| Former Name | MELISSA MARY SCHORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60481745) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60481745) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2021-02-23 |