NPI | 1144563800 |
---|---|
Former Name | MELISSA ANNE KORKMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 021071-1) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110-003992) |
363A00000X Physician Assistant (Licence: AL PA-929) | |
Enumeration Date | 2013-04-01 |
Last Update Date | 2022-07-21 |