NPI | 1518471192 |
---|---|
Former Name | MELISSA ANN SINGLETARY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 21770) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: SC 224494) |
Enumeration Date | 2017-11-19 |
Last Update Date | 2018-10-02 |