NPI | 1528474517 |
---|---|
Former Name | MELISSA KATHERINE OLDHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024171783) |
Enumeration Date | 2014-07-10 |
Last Update Date | 2021-05-05 |