| NPI | 1528405107 |
|---|---|
| Former Name | MELANIE DEWITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 348425) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 314435) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2023-11-13 |