| 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 |