NPI | 1255679726 |
---|---|
Former Name | CHELSEA FIBRANZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 2156) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 002376) |
Enumeration Date | 2013-01-17 |
Last Update Date | 2022-07-21 |