| 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 |