| NPI | 1174910152 |
|---|---|
| Former Name | MELISSA JALLOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009788) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IN 28201639A) |
| 163W00000X Registered Nurse (Licence: NC 291077) | |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2022-11-30 |