| NPI | 1114239100 |
|---|---|
| Former Name | MELISSA FORBES ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA07478) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: SC 1535) |
| 363AM0700X Physician Assistant, Medical (Licence: SC TL1535) | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2019-10-10 |