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 |