NPI | 1164809448 |
---|---|
Former Name | MELANIE JANDRIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 3960) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2015-05-06 |
Last Update Date | 2020-09-14 |