| NPI | 1578039749 |
|---|---|
| Former Name | MELISSA JO SHIELS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60898493) |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2023-10-11 |