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 |