| NPI | 1124129226 |
|---|---|
| Former Name | MELISSA JEAN MURPHY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MA PA1960) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CT 002214) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2016-05-16 |