| NPI | 1932140381 |
|---|---|
| Former Name | MELODIE JOY ENEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 005322) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 005322) |
| 363AM0700X Physician Assistant, Medical (Licence: NY 5322) | |
| 363AS0400X Physician Assistant, Surgical (Licence: NY 005322) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2023-03-21 |