| NPI | 1851610448 |
|---|---|
| Former Name | MELISSA BOWLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2010034956) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OK 77335) |
| Enumeration Date | 2010-05-23 |
| Last Update Date | 2017-11-21 |