| NPI | 1548691223 |
|---|---|
| Former Name | MELISSA ANNE MATHIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL APRN9227131) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN9227131) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2024-01-15 |