NPI | 1497790372 |
---|---|
Former Name | MELODY R SCHULTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 10145) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MN 395 - Temp Reg.) |
Enumeration Date | 2006-06-17 |
Last Update Date | 2025-02-20 |