| NPI | 1427352491 |
|---|---|
| Former Name | MELISSA JOY BOOTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95009281) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA 95009281) |
| 363L00000X Nurse Practitioner (Licence: CA 95009281) | |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2020-01-15 |