| NPI | 1295342574 |
|---|---|
| Former Name | MELISSA MOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 2120) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 14224) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2024-07-25 |