NPI | 1225199193 |
---|---|
Former Name | MELISSA PEDLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA053819) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00170200) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2025-07-03 |