| NPI | 1568546372 |
|---|---|
| Former Name | MELISSA ANN LITTLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MI 4704230148) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704230148) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: MI 4704230148) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2021-03-12 |