| NPI | 1730376062 |
|---|---|
| Former Name | MELISSA TAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170004) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 003688) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2014-06-19 |