NPI | 1912464447 |
---|---|
Other Name | MELISSA HIXSON RANDLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000025399) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 276366) |
Enumeration Date | 2019-02-20 |
Last Update Date | 2024-01-26 |