| NPI | 1790456663 |
|---|---|
| Former Name | MELISSA MINKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IL 209.024215) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2025-08-28 |