NPI | 1437311834 |
---|---|
Former Name | CHELSEY A VAN NORMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 10485) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 1163) |
Enumeration Date | 2008-06-26 |
Last Update Date | 2020-08-24 |