| NPI | 1902122021 |
|---|---|
| Former Name | NICOLE MELIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CT 004338) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 536002) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NY 305273) | |
| 163W00000X Registered Nurse (Licence: CT 092394) | |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2014-02-24 |