| NPI | 1669843769 |
|---|---|
| Former Name | MELISSA SPENCER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 220600) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 95003035) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9442361) | |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2021-03-03 |