NPI | 1467069369 |
---|---|
Former Name | MELISSA MADOLYN NEAVES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 28062) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 28062) |
Enumeration Date | 2020-09-25 |
Last Update Date | 2020-09-25 |