| NPI | 1588633721 |
|---|---|
| Former Name | MELANIE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 814650) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NV 814650) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 19683) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2024-04-30 |