| NPI | 1295082261 |
|---|---|
| Former Name | MELISSA M. HUEBNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001402) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209009707) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2021-05-17 |