| NPI | 1750431227 |
|---|---|
| Former Name | MELISSA B BRUBAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 00624) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50002276) |
| 363AS0400X Physician Assistant, Surgical (Licence: WV 00624) | |
| 363AS0400X Physician Assistant, Surgical (Licence: OH 50002276) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |