| NPI | 1205157807 | 
|---|---|
| Former Name | MELISSA J KIEFER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2013009190) | 
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2000163049) | 
| Enumeration Date | 2010-06-17 | 
| Last Update Date | 2021-03-12 |