| NPI | 1780074708 |
|---|---|
| Former Name | MELINDA DEE STIFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71005372A) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 28192969A) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2023-11-29 |