| NPI | 1760899009 |
|---|---|
| Former Name | MELISSA ANNE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11032361) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5006992) |
| 363L00000X Nurse Practitioner (Licence: SC 21409) | |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2024-04-19 |