| NPI | 1790299980 |
|---|---|
| Former Name | MELISSA A EASTMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60819908) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 57028) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2019-10-21 |