| NPI | 1063033025 |
|---|---|
| Former Name | MELANIE MARIE EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-162338) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1162338) |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2023-10-10 |