| NPI | 1427425164 |
|---|---|
| Former Name | CHELSEA NICOLE FELLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10003588A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085005666) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2022-05-18 |