NPI | 1083383111 |
---|---|
Former Name | MELANIE JEAN ROSSIGNOL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV 841279) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.10000.91-NP) |
363L00000X Nurse Practitioner (Licence: NV 841279) | |
Enumeration Date | 2021-09-11 |
Last Update Date | 2024-10-25 |