| NPI | 1699191536 |
|---|---|
| Former Name | MELINDA BOLGAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0005559) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9107828) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2021-06-18 |