NPI | 1982934808 |
---|---|
Former Name | MELINDA MOEGE, TOMLIN, TEMPLETON, GILLESPIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-01368) |
Enumeration Date | 2009-12-29 |
Last Update Date | 2023-06-08 |