| NPI | 1932678604 |
|---|---|
| Other Name | MELISSA MELANIE MCCLEAN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 2017037652) |
| Enumeration Date | 2018-11-24 |
| Last Update Date | 2018-11-24 |