NPI | 1497397707 |
---|---|
Former Name | MELISSA C LEVIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 1060933) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041355297) |
Enumeration Date | 2019-10-09 |
Last Update Date | 2024-09-13 |