| NPI | 1275040016 |
|---|---|
| Former Name | MELANIE RENAE TUCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 118724) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2020-02-10 |