NPI | 1164898508 |
---|---|
Former Name | CHELSEA E REMSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110005323) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.004419) |
363AM0700X Physician Assistant, Medical (Licence: VA 0110005323) | |
Enumeration Date | 2015-08-20 |
Last Update Date | 2023-11-22 |