| NPI | 1881134054 | 
|---|---|
| Former Name | MELISSA BRYNN GRABOT | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7575) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-019978) | 
| Enumeration Date | 2017-03-07 | 
| Last Update Date | 2025-10-28 |