| NPI | 1164072534 |
|---|---|
| Former Name | MELISSA DAWN MEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2022025341) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO R0119396) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OK 119396) | |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2024-08-12 |