| NPI | 1467868638 |
|---|---|
| Former Name | MELISSA J ALWARDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110004967) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: NY 017686) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2024-01-10 |