| NPI | 1740477033 |
|---|---|
| Former Name | MELISSA ANNE SCHUBERTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00237200) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA053185) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2011-01-27 |