| NPI | 1871808824 |
|---|---|
| Former Name | MELISSA SIMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA PA.200713) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2010-08-15 |
| Last Update Date | 2018-09-26 |