| 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 | 2024-09-24 |