| NPI | 1285117044 |
|---|---|
| Former Name | MELISSA ANN LITTLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024176380) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024176380) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2022-06-23 |