| NPI | 1235549361 |
|---|---|
| Former Name | MELISSA BROOKE HASTINGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0059781) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2023-03-07 |