NPI | 1629228127 |
---|---|
Former Name | MELISSA ANN WHITFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA002627) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA054806) |
Enumeration Date | 2008-09-22 |
Last Update Date | 2014-05-27 |