| NPI | 1831581586 |
|---|---|
| Former Name | MELISSA CHRISTINE BETANCOURT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP95002056) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2016-11-17 |