NPI | 1891216164 |
---|---|
Former Name | MELANIE LOUISE LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2389822) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10284) |
Enumeration Date | 2017-06-27 |
Last Update Date | 2024-07-07 |