NPI | 1316222912 |
---|---|
Former Name | CHELSEA SAUVE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-03141) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 016478-1) |
Enumeration Date | 2011-10-14 |
Last Update Date | 2022-05-11 |