| NPI | 1932188810 |
|---|---|
| Former Name | MELANIE JOY SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1078637) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2024-09-17 |