| NPI | 1316505670 |
|---|---|
| Former Name | MELISSA JEAN WATSEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019023268) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: MO 2014024546) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-80212-062) | |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2024-05-29 |