| NPI | 1659856722 |
|---|---|
| Former Name | MELISSA JO STINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0994178-NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0994178-NP) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2019-07-16 |