| NPI | 1760527691 |
|---|---|
| Former Name | MELISSA SUE MEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018023341) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007114) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2022-12-13 |