| NPI | 1245883511 |
|---|---|
| Former Name | MELISSA WISEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025076) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OH APRN.CNP.025076) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2023-05-02 |