NPI | 1194124073 |
---|---|
Former Name | MELINDA MCGHEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110006453) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA058801) |
Enumeration Date | 2014-08-17 |
Last Update Date | 2023-11-22 |