| NPI | 1285912832 |
|---|---|
| Former Name | MELINDA JO CRAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2011015338) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2010031271) |
| 363L00000X Nurse Practitioner (Licence: MO 2011015338) | |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2018-04-04 |