| NPI | 1134451453 |
|---|---|
| Former Name | MELANIE ANN JESKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-76353-032) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2010004418) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2014-07-09 |