NPI | 1235641028 |
---|---|
Former Name | MELISSA MARIE FARR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MO 2011006925) |
Enumeration Date | 2017-11-01 |
Last Update Date | 2017-11-01 |