| NPI | 1982122578 |
|---|---|
| Former Name | MERISSA MYERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10003916A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ID PA-2562) |
| 363A00000X Physician Assistant (Licence: WA 1155930) | |
| 363A00000X Physician Assistant (Licence: WA PA60902142) | |
| Enumeration Date | 2017-09-02 |
| Last Update Date | 2023-09-07 |