NPI | 1760862767 |
---|---|
Former Name | MELISSA GARTNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 19503) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 19503) |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: SC 19503) | |
Enumeration Date | 2015-06-04 |
Last Update Date | 2023-02-09 |