| NPI | 1831630458 |
|---|---|
| Former Name | MELISSA LEE RICHTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-015573) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2018009351) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2021-09-08 |