| NPI | 1124278569 |
|---|---|
| Former Name | MELISSA ANN GUTWEIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IN 71002825A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71002825A) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2024-11-05 |