NPI | 1093388894 |
---|---|
Other Name | MELISSA GRIMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10004279A) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9115683) |
Enumeration Date | 2021-07-20 |
Last Update Date | 2024-04-19 |