NPI | 1447545983 |
---|---|
Former Name | MELISSA ANNE TALASKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA21653) |
Additional Taxonomies | 363AS0400X Physician Assistant Surgical |
Enumeration Date | 2011-06-13 |
Last Update Date | 2022-07-26 |