NPI | 1881034858 |
---|---|
Former Name | MELISSA ASHLEY PALOMBA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 306510) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 585449-1) |
Enumeration Date | 2013-07-05 |
Last Update Date | 2013-07-05 |