NPI | 1407887920 |
---|---|
Former Name | SHALON R CHORDAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL PA 9103438) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9103438) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2013-09-06 |