| NPI | 1972192409 |
|---|---|
| Former Name | MELISSA JILL HARWITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 104079) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 104079) |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2023-07-22 |