NPI | 1669830576 |
---|---|
Former Name | MELANIE SALLEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR PA-647) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2016-02-05 |
Last Update Date | 2016-04-11 |