NPI | 1407198583 |
---|---|
Former Name | TRISHA LYNN CHILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA5386) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MA PA5386) |
Enumeration Date | 2013-03-26 |
Last Update Date | 2023-03-30 |