NPI | 1366904930 |
---|---|
Former Name | MELISSA ELAINE P NATIVIDAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP029132) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA H143954) |
363LA2100X Nurse Practitioner, Acute Care (Licence: IA H143954) | |
Enumeration Date | 2019-04-03 |
Last Update Date | 2024-06-10 |