NPI | 1306408109 |
---|---|
Former Name | MELISSA ANNE HAIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704284497) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704284497) |
Enumeration Date | 2019-07-01 |
Last Update Date | 2019-07-01 |