NPI | 1750930426 |
---|---|
Former Name | MELISSA DURYEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A156349) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A156349) |
Enumeration Date | 2019-09-05 |
Last Update Date | 2021-08-30 |