NPI | 1225294564 |
---|---|
Former Name | CHELSEA B HART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 012639) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 12639) |
Enumeration Date | 2008-08-06 |
Last Update Date | 2023-06-30 |