NPI | 1174995807 |
---|---|
Former Name | MELINDA STINSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8226) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ Ap8226) |
Enumeration Date | 2015-10-21 |
Last Update Date | 2024-10-30 |