| NPI | 1083170088 |
|---|---|
| Former Name | MELANIE R SHRONTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY TC296) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.005717RX) |
| 363AM0700X Physician Assistant, Medical (Licence: KY TC296) | |
| 363AS0400X Physician Assistant, Surgical (Licence: KY TC296) | |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2022-09-20 |