NPI | 1487853990 |
---|---|
Former Name | MELANIE DRAKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11018986) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9595541) |
363LF0000X Nurse Practitioner, Family (Licence: GA RN164301) | |
Enumeration Date | 2007-07-13 |
Last Update Date | 2022-05-19 |