| NPI | 1508310061 |
|---|---|
| Former Name | MELANIE JO TWAIT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 112087) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 76731) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-09-22 |