NPI | 1447432018 |
---|---|
Former Name | MELINDA PEARSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA1188) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA 2607) |
Enumeration Date | 2007-12-05 |
Last Update Date | 2013-02-19 |