NPI | 1285820233 |
---|---|
Former Name | MELISSA CAROLYN CARMICHAEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9202820) |
Enumeration Date | 2007-09-23 |
Last Update Date | 2021-02-22 |