| NPI | 1821464561 |
|---|---|
| Former Name | MELINDA MCCOWAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: KY 3009473) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2016-05-26 |