| NPI | 1770870594 |
|---|---|
| Former Name | MELISSA RUTH WALTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.12414) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.12414-NP) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2020-10-01 |