NPI | 1023558723 |
---|---|
Former Name | CHELSEY MARIE PAHOLSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 3697) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 3697) |
Enumeration Date | 2017-02-28 |
Last Update Date | 2023-11-16 |