| NPI | 1619413671 |
|---|---|
| Former Name | CHRISTIE MEDELLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28213376A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006883A) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2023-06-21 |