| NPI | 1396453346 |
|---|---|
| Other Name | MELINDA SUE GANGLOFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL AG09220121) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209027429) |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2025-05-13 |