NPI | 1245584564 |
---|---|
Former Name | MELISSA ANNE GERLACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A-118348) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A118348) |
363LF0000X Nurse Practitioner, Family (Licence: IA A-118348) | |
Enumeration Date | 2012-11-08 |
Last Update Date | 2024-11-14 |