NPI | 1477733459 |
---|---|
Former Name | MELISCHA P THORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WV 47780) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH COA.09838-NP) |
Enumeration Date | 2007-11-07 |
Last Update Date | 2019-11-05 |