NPI | 1770981201 |
---|---|
Former Name | JAMIE L MELTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71005201A) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 28167313A) |
Enumeration Date | 2014-12-16 |
Last Update Date | 2023-09-11 |