| NPI | 1417316241 |
|---|---|
| Former Name | JESSICA MELCHIOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ00622400) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NJ 26NJ00622400) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2017-01-03 |