| NPI | 1225080328 |
|---|---|
| Former Name | MELISSA MARIE WHERLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO 1598) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GU PA000062) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2024-01-01 |