| NPI | 1922356294 |
|---|---|
| Former Name | MELISSA RENEE BENNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MO 2012028475) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2012028475) |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2024-03-07 |