| NPI | 1003029224 |
|---|---|
| Former Name | ELLISSA A METTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085-002771) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA #052890) |
| 363A00000X Physician Assistant (Licence: WI 2370-023) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2009-11-24 |