| NPI | 1962170886 |
|---|---|
| Former Name | MELISSA MARIE ZIDAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5015009) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC NOLA-D6VV9) |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2021-10-26 |