| NPI | 1659366680 |
|---|---|
| Former Name | MELISSA G DIFFENDERFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 26389) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704186832) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2022-09-14 |