| NPI | 1649712753 |
|---|---|
| Former Name | MELISSA MAE LUN SHIOZAKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.1000635-NP) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2025-10-15 |