| NPI | 1699082974 |
|---|---|
| Former Name | MELISSA ANN HURST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-06905) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 508) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2023-01-13 |