NPI | 1073169256 |
---|---|
Former Name | WENDY MELTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN2859152) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN2859152) |
Enumeration Date | 2019-08-14 |
Last Update Date | 2021-11-15 |