| NPI | 1609185339 |
|---|---|
| Former Name | MELISSA LOUISE GARRETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 2316) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WV 511) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2022-05-04 |