NPI | 1417331828 |
---|---|
Former Name | MELISSA D HATCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015009465) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 76834) |
Enumeration Date | 2015-07-15 |
Last Update Date | 2015-07-24 |