| 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 |