NPI | 1104108554 |
---|---|
Former Name | MELANIE LYN DAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024172873) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5005287) |
Enumeration Date | 2011-09-12 |
Last Update Date | 2022-09-02 |