| NPI | 1982722583 |
|---|---|
| Former Name | MELISSA NICOLE DEAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DE C50000505) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2022-05-25 |