| 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 |