| NPI | 1487994653 |
|---|---|
| Former Name | MELANIE BROOKE KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 183081) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 183081) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2016-03-25 |