NPI | 1487218764 |
---|---|
Former Name | CHELSEA BIANCA GEBS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-11109) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9113351) |
Enumeration Date | 2019-04-23 |
Last Update Date | 2021-03-03 |