| NPI | 1033598230 |
|---|---|
| Former Name | MELISSA CHRISTINE STEPHENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: CA 52504) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA52504) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2019-04-02 |