NPI | 1578083358 |
---|---|
Former Name | MELISSA SCINTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-08624) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2017-06-22 |
Last Update Date | 2023-11-06 |