| NPI | 1609177674 |
|---|---|
| Former Name | MELISSA DALE LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: ND R34298) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R-198861-3) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 9842) | |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2024-11-26 |