| 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 |