NPI | 1659478360 |
---|---|
Former Name | MELANIE M STOLTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA18062) |
Enumeration Date | 2006-09-17 |
Last Update Date | 2018-09-05 |