| NPI | 1205810249 |
|---|---|
| Former Name | MELANIE WHITE CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN150038) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN130038) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2025-06-12 |