NPI | 1912998873 |
---|---|
Former Name | MELISSA A FRESCHI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MN 9993) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 9993) |
Enumeration Date | 2005-10-31 |
Last Update Date | 2007-07-08 |