NPI | 1073086708 |
---|---|
Former Name | MELINDA NICOLE TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 63781) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: ID 63781) |
Enumeration Date | 2019-01-04 |
Last Update Date | 2024-11-06 |