| NPI | 1326557141 |
|---|---|
| Former Name | MELISSA HAMILTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9119140) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2024-11-18 |