NPI | 1902978885 |
---|---|
Former Name | MELISSA DUNCAN TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA 1018) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001816B) |
363A00000X Physician Assistant (Licence: IN 10001816A) | |
363AM0700X Physician Assistant, Medical | |
363AS0400X Physician Assistant, Surgical | |
Enumeration Date | 2006-11-15 |
Last Update Date | 2018-12-26 |