| 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 |