| NPI | 1811611494 |
|---|---|
| Former Name | MELISSA MARIE WILKINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022038678) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2011035473) |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2022-09-28 |