| NPI | 1801172598 |
|---|---|
| Former Name | MELISSA OVALLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202103250NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 766077) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2021-07-09 |