| NPI | 1538668140 |
|---|---|
| Former Name | MELISSA CLEMENT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY TC980) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 088778) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2020-10-27 |