NPI | 1992961429 |
---|---|
Former Name | MELINDA SUE PICKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MN 11555) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA60193376) |
363AM0700X Physician Assistant, Medical (Licence: CO 2630) | |
Enumeration Date | 2008-08-04 |
Last Update Date | 2024-04-10 |