| NPI | 1912147059 |
|---|---|
| Former Name | MELISSA MCCARTNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA 2612) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 0701) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2011-12-02 |