| NPI | 1508085689 |
|---|---|
| Former Name | MELISSA LAVON HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60120054) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA19038) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2019-06-21 |