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 |