NPI | 1477028751 |
---|---|
Former Name | MELANIE ROSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0997863-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704325570) |
Enumeration Date | 2018-10-12 |
Last Update Date | 2024-10-27 |