NPI | 1255885802 |
---|---|
Former Name | MELISSA MEGHAN SOSENSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2305787) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2305787) |
Enumeration Date | 2016-08-12 |
Last Update Date | 2022-09-09 |