NPI | 1043826035 |
---|---|
Former Name | EMILY MELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 5248-23) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: WI 5248) |
Enumeration Date | 2020-09-16 |
Last Update Date | 2024-07-12 |