| NPI | 1962553628 |
|---|---|
| Former Name | IVY MELISSA MURPHY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA 15987) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA15987) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-01-15 |