| NPI | 1699913202 |
|---|---|
| Former Name | MELANIE RAYE HARRISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MS 871244) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS R871244) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2020-07-23 |