| NPI | 1538641592 |
|---|---|
| Former Name | MELISSA LUANNE ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MN 6331) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: SD CP001430) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2019-01-02 |