NPI | 1730588252 |
---|---|
Former Name | MELISSA DOYLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007211) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 225007) |
Enumeration Date | 2014-08-20 |
Last Update Date | 2019-08-19 |