| NPI | 1649588914 |
|---|---|
| Former Name | MELISSA N LIND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 4250) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085003857) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2018-03-17 |