| NPI | 1730501255 |
|---|---|
| Former Name | MELISSA JEAN PASCHAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 103333) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OK 0103333) |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2018-03-05 |