| NPI | 1174827133 |
|---|---|
| Former Name | MELANIE SUSAN CRISP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209008933) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9283382) |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2021-03-02 |