| NPI | 1235741802 |
|---|---|
| Former Name | MELISSA TROI KELLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA61222414) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA61222414) |
| 363AM0700X Physician Assistant, Medical (Licence: WA PA61157642) | |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2022-12-06 |