| NPI | 1033715529 |
|---|---|
| Former Name | MELISSA ANNE SANTOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA13492) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601009908) |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2025-09-15 |