| NPI | 1376098574 | 
|---|---|
| Former Name | MELISSA A. HOTALING | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024174616)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001208112)  | 
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: VA 0015001015)  | |
| Enumeration Date | 2016-08-18 | 
| Last Update Date | 2017-11-09 |