NPI | 1922729466 |
---|---|
Former Name | MELISSA DAWN MCLAUGHLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NM 69328) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 69328) |
Enumeration Date | 2022-09-02 |
Last Update Date | 2023-09-21 |