| NPI | 1316027881 |
|---|---|
| Former Name | MARY MELANIE GEORGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRNCNP021816) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP008662) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2017-10-11 |