| NPI | 1114189164 |
|---|---|
| Former Name | MELISSA J MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ME PA255) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA1133) |
| 363A00000X Physician Assistant (Licence: ME PA255) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2023-07-03 |