| NPI | 1871515312 |
|---|---|
| Former Name | MELANIE GRACE MERRILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0004894) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA17451) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2018-10-18 |