| 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) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2016-06-30 |