| NPI | 1740365931 |
|---|---|
| Former Name | MELISSA M. FRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-06775) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA052839) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2016-10-11 |