| NPI | 1477028751 |
|---|---|
| Former Name | MELANIE ROSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| 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 | 2022-08-09 |