| NPI | 1629658810 |
|---|---|
| Former Name | MELANIE C ACOSTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01211300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR20502400) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2024-04-08 |