NPI | 1942638341 |
---|---|
Former Name | MELINDA ANN VANDYNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9368386) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ARNP9368386) |
Enumeration Date | 2013-10-22 |
Last Update Date | 2023-09-08 |