NPI | 1811481542 |
---|---|
Former Name | MELISSA LOUISE RAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA NP95009380) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP95009380) |
363LF0000X Nurse Practitioner, Family (Licence: CA 825774) | |
Enumeration Date | 2018-06-16 |
Last Update Date | 2022-09-22 |