| NPI | 1861738023 |
|---|---|
| Former Name | MELISSA KATHLEEN CANCIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 1861738023) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95118610) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2024-06-11 |