NPI | 1265849699 |
---|---|
Former Name | MELISSA KAYE SLAYMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3009955) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.16268-NP) |
163W00000X Registered Nurse (Licence: OH RN-306449-1) | |
Enumeration Date | 2014-07-17 |
Last Update Date | 2017-01-24 |