NPI | 1952312720 |
---|---|
Former Name | MELANIE L. TEJEDOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP04922) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS R856944) |
363L00000X Nurse Practitioner (Licence: LA RN063398) | |
Enumeration Date | 2006-08-10 |
Last Update Date | 2014-12-30 |