NPI | 1154709780 |
---|---|
Former Name | MELANIE ANN HAHN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 12678) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9112074) |
363AM0700X Physician Assistant, Medical (Licence: MA PA6038) | |
Enumeration Date | 2015-05-14 |
Last Update Date | 2025-02-21 |