NPI | 1912967258 |
---|---|
Former Name | MELISSA ANN FRANK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209115544) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209005544) |
363L00000X Nurse Practitioner (Licence: IA A087165) | |
Enumeration Date | 2006-03-23 |
Last Update Date | 2015-02-05 |