| NPI | 1457029647 | 
|---|---|
| Former Name | MELISSA FRITCH | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704322200)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 470322200)  | 
| Enumeration Date | 2021-09-01 | 
| Last Update Date | 2022-12-14 |