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 |