| NPI | 1962245316 |
|---|---|
| Other Name | MELANIE GENNARO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11034101) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 933473) |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-07-18 |