| NPI | 1437231024 |
|---|---|
| Former Name | MELANIE C RUSCIO-GLEASON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0000489) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 489) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2018-10-16 |