| NPI | 1699267450 |
|---|---|
| Former Name | MELISSA LEIGH SPICER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: 181522) |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other Surgical Assistant (Licence: VA 181522) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2023-08-31 |