NPI | 1912383274 |
---|---|
Former Name | MELISSA EILERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2015009132) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015009132) |
Enumeration Date | 2015-08-09 |
Last Update Date | 2022-04-12 |