NPI | 1891001657 |
---|---|
Former Name | MELANIE LEIGH WEDEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 703456) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 703456) |
Enumeration Date | 2010-08-31 |
Last Update Date | 2024-02-02 |