| NPI | 1659034395 |
|---|---|
| Former Name | MELISSA FERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11012692) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11012692) |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2024-06-26 |