NPI | 1194187070 |
---|---|
Former Name | MELISSA GALLAGHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 9518) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL arnp9278278) |
363L00000X Nurse Practitioner (Licence: CT 9518) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: CT 9518) | |
Enumeration Date | 2016-03-22 |
Last Update Date | 2023-09-11 |