NPI | 1164836136 |
---|---|
Former Name | MELISSA LYNN GILMORE PITTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA AP07833) |
Enumeration Date | 2014-06-17 |
Last Update Date | 2021-11-03 |