NPI | 1831123843 |
---|---|
Former Name | MELISSA H TAING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C02885) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 11687) |
363A00000X Physician Assistant (Licence: TX PA17430) | |
363AM0700X Physician Assistant, Medical (Licence: PA MA053434) | |
Enumeration Date | 2006-07-10 |
Last Update Date | 2024-02-29 |