| NPI | 1538225180 |
|---|---|
| Former Name | MELISSA A DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MD R151754) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: MI 4704257601) |
| 364SP0200X Clinical Nurse Specialist Pediatrics (Licence: CA 2554) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2009-05-07 |