| NPI | 1710122817 |
|---|---|
| Former Name | MELINDA AMELIA SANTIAGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9117549) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 013030) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2023-11-20 |