| NPI | 1245665181 |
|---|---|
| Former Name | MELISSA SUE ELLEN WEBSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1292) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R165592-0) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2023-05-05 |