NPI | 1851589683 |
---|---|
Former Name | MELISSA MARGARET GOLDSMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 001864) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085003087) |
Enumeration Date | 2007-10-05 |
Last Update Date | 2016-07-14 |