NPI | 1861949364 |
---|---|
Former Name | MELANIE L RASMUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA55293) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CT 23.003660) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2020-06-24 |