| NPI | 1336121367 |
|---|---|
| Former Name | MELANIE CAROL HOGBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 002345) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 002345) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 084704-23) | |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2025-07-01 |