| NPI | 1881938736 |
|---|---|
| Former Name | MELISSA SUE MEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004278A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28169657A) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2016-02-01 |