NPI | 1487913646 |
---|---|
Former Name | MELISSA E. MAASSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209009772) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2012011486) |
Enumeration Date | 2012-05-09 |
Last Update Date | 2012-12-18 |