| NPI | 1386979821 |
|---|---|
| Former Name | MELLANIE M MORGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA56529) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA PA200305) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2023-08-02 |