| NPI | 1831815109 |
|---|---|
| Former Name | MELISSA HEIDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 202200910NP-PP) |
| Additional Taxonomies | 208800000X Urology (Licence: OR 202200910NP-PP) |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2025-11-12 |