| NPI | 1194374991 |
|---|---|
| Former Name | REBECCA JO CHAFFEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 9461) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2025-12-10 |