NPI | 1073391033 |
---|---|
Former Name | MELANIE ANN LOEHRER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ND PAC1021) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 14911) |
Enumeration Date | 2023-09-20 |
Last Update Date | 2024-05-07 |