| NPI | 1114573102 |
|---|---|
| Former Name | MELISSA ANNE FIRSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP020228) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: PA RN638385) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |