NPI | 1467970780 |
---|---|
Former Name | MELISSA FRANK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA RN662068) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP017965) |
Enumeration Date | 2017-09-07 |
Last Update Date | 2021-03-25 |