| NPI | 1114475456 |
|---|---|
| Former Name | KAREN SUE MELTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190593) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 64630) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2024-10-28 |