NPI | 1720118755 |
---|---|
Former Name | MELANIE G NOSAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61002933) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61002933) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2020-11-06 |