| NPI | 1609844562 |
|---|---|
| Former Name | MELISSA LYNN MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-081366) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 9200085) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2024-08-28 |