NPI | 1275923674 |
---|---|
Former Name | MELISSA VERONICA MATHEWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: AL 1-101355) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-101355) |
163WH0200X Registered Nurse, Home Health (Licence: AL 1-101355) | |
163WH1000X Registered Nurse, Hospice (Licence: AL 1-101355) | |
163WM0705X Registered Nurse, Medical-Surgical (Licence: AL 1-101355) | |
163WP2201X Registered Nurse, Ambulatory Care (Licence: AL 1-101355) | |
Enumeration Date | 2015-01-23 |
Last Update Date | 2015-01-23 |