| NPI | 1184900169 |
|---|---|
| Former Name | MELISSA K NATZKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 64157-20) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 15515-040) |
| Enumeration Date | 2011-10-23 |
| Last Update Date | 2023-01-09 |