| NPI | 1073875910 |
|---|---|
| Former Name | MELISSA STUPARITS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA 191978) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA rn 191978) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2017-06-29 |