NPI | 1972512333 |
---|---|
Former Name | MELANIE YODER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704259247) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IL 209005983) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2009-05-06 |