NPI | 1396026480 |
---|---|
Former Name | CHELSA A MCLAUGHLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: PA MA055469) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: OH 50.003305) |
Enumeration Date | 2011-09-01 |
Last Update Date | 2015-02-17 |