| NPI | 1386942803 |
|---|---|
| Former Name | MELISSA DIBBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA055179) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00252800) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2018-06-26 |