NPI | 1093364242 |
---|---|
Former Name | MELISSA A LYNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61020527) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 62642) |
363L00000X Nurse Practitioner (Licence: WA AP61020527) | |
Enumeration Date | 2019-09-10 |
Last Update Date | 2020-04-24 |