NPI | 1225426943 |
---|---|
Former Name | MELISSA JANGULA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NV PA1647) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA 52222) |
363AM0700X Physician Assistant, Medical (Licence: NV PA0408) | |
363AM0700X Physician Assistant, Medical (Licence: AZ 7452) | |
Enumeration Date | 2015-01-05 |
Last Update Date | 2019-10-23 |