| NPI | 1316693203 |
|---|---|
| Former Name | MELISSA ANNE SCHRUBBE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 12175) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 159520) |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2022-10-13 |