NPI | 1891976064 |
---|---|
Former Name | MELISSA A NOEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 1862) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: TN PA1862) |
Enumeration Date | 2007-11-16 |
Last Update Date | 2022-04-07 |