| NPI | 1225489644 |
|---|---|
| Former Name | CHELSEA E HANERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601010797) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 3765-23) |
| 363AM0700X Physician Assistant, Medical (Licence: WI 3765-23) | |
| 363AS0400X Physician Assistant, Surgical (Licence: WI 3765-23) | |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2023-04-20 |