| NPI | 1235648882 |
|---|---|
| Former Name | MELISSA MIRANDA-LUCIANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9310541) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9310541) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2022-08-08 |