| NPI | 1902293756 |
|---|---|
| Former Name | CAROLINE MARIE MELROSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA61116968) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| 363A00000X Physician Assistant (Licence: WA PA61116968) | |
| 363A00000X Physician Assistant | |
| 363A00000X Physician Assistant | |
| 363A00000X Physician Assistant (Licence: ID PA-2010) | |
| 363AM0700X Physician Assistant, Medical (Licence: ID PA-2010) | |
| 363AS0400X Physician Assistant, Surgical (Licence: ID PA-2010) | |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2024-01-03 |