| NPI | 1225796550 |
|---|---|
| Former Name | MELANIE RENEE WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-82593-111) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 1397315111) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2025013112) | |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2025-04-21 |