NPI | 1396046561 |
---|---|
Former Name | MELISSA RAE KEAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OK 89027) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OK 89027) |
Enumeration Date | 2010-11-04 |
Last Update Date | 2024-07-18 |