| NPI | 1316651193 |
|---|---|
| Former Name | MELANIE KAY ANDERSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 5370) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2024-10-09 |