| NPI | 1952613382 |
|---|---|
| Former Name | MELISSA CLARE ZACHMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 008211) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 001002388) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2018-03-26 |