NPI | 1205425410 |
---|---|
Former Name | MELISSA WILKINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5014148) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 0000000) |
Enumeration Date | 2021-01-12 |
Last Update Date | 2024-03-12 |