| NPI | 1669411393 |
|---|---|
| Former Name | MELISSA A HENOFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA TP006181H) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA TP006182C) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2024-02-26 |