| NPI | 1124316021 |
|---|---|
| Former Name | CHELSEA KAY HAVEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 22211) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085004055) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2022-12-06 |