| NPI | 1437498664 |
|---|---|
| Former Name | MELISSA CATHERINE BROOKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C04982) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MD C04982) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2021-03-24 |