NPI | 1194513184 |
---|---|
Former Name | MELISSA MARIE MARSHALL/PAPADOPULOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 407132) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 633725) |
Enumeration Date | 2025-04-29 |
Last Update Date | 2025-06-03 |