| 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 |