NPI | 1619386117 |
---|---|
Former Name | MELINDA EILEEN PAUL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP013809) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP013809) |
Enumeration Date | 2014-08-08 |
Last Update Date | 2020-01-13 |