NPI | 1215415534 |
---|---|
Former Name | MERI MELODIE MITCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 31684) |
Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: TN 31684) |
Enumeration Date | 2018-07-30 |
Last Update Date | 2022-12-28 |