NPI | 1760988000 |
---|---|
Former Name | MELANIE DAWN ROMEREIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 78133) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 78133) |
Enumeration Date | 2018-04-04 |
Last Update Date | 2020-03-12 |