| NPI | 1396733671 |
|---|---|
| Former Name | MELANIE J KRUPA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 5778) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MA PA1772) |
| 363AM0700X Physician Assistant, Medical (Licence: MA PA1772) | |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2022-08-08 |