| NPI | 1699001651 |
|---|---|
| Former Name | MELISSA JEAN LEAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 26565) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 24250) |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2023-05-03 |