| NPI | 1356768493 |
|---|---|
| Former Name | MELODY DAWN MALDONADO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5530) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: AZ RN138612) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2022-11-18 |