NPI | 1790090355 |
---|---|
Former Name | MELISSA NICOLE MCCLAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 722396) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 722396) |
Enumeration Date | 2010-08-08 |
Last Update Date | 2024-05-20 |