| NPI | 1366965071 |
|---|---|
| Former Name | CHANDRA CELESTINA SARTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 3309) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2024-05-07 |