NPI | 1578086484 |
---|---|
Former Name | MELISSA ANN HEDRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71007606A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 28162871A) |
Enumeration Date | 2017-07-23 |
Last Update Date | 2022-02-24 |