NPI | 1033527296 |
---|---|
Former Name | MELISSA LEIGH VERHAAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0007822) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085005548) |
Enumeration Date | 2014-07-31 |
Last Update Date | 2023-07-13 |