| NPI | 1538920863 |
|---|---|
| Former Name | MELISSA SARAH GALLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9118537) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL 9118537) |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-12-19 |