| NPI | 1568058733 |
|---|---|
| Former Name | MELANIE MARIE SMOOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61188070) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA RN60286253) |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2021-09-09 |