NPI | 1124584297 |
---|---|
Former Name | MELANIE WILLIAMSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11001286) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11001286) |
Enumeration Date | 2019-02-14 |
Last Update Date | 2022-03-11 |