NPI | 1598193401 |
---|---|
Former Name | MELISSA A BURDIEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-76092) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 76095) |
Enumeration Date | 2013-10-31 |
Last Update Date | 2024-04-01 |