| NPI | 1407050164 |
|---|---|
| Former Name | MELISSA DIANA MORRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: ME CNP201420) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: SC 3247) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: NC 5003497) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2021-12-01 |