NPI | 1790182848 |
---|---|
Former Name | MELANIE CROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9309591) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ARNP9309591) |
Enumeration Date | 2014-12-04 |
Last Update Date | 2022-03-03 |