NPI | 1053741694 |
---|---|
Former Name | MELISSA LAUREN HARVEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN276878) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 068952-23) |
Enumeration Date | 2013-11-18 |
Last Update Date | 2023-09-15 |