NPI | 1659004133 |
---|---|
Former Name | MELISSA ANN LOWE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95027646) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95071134) |
Enumeration Date | 2022-07-02 |
Last Update Date | 2024-03-26 |