| NPI | 1255614145 |
|---|---|
| Former Name | ANGELA CHASE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME 1269PA) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA1269) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2020-02-04 |