| NPI | 1508268491 |
|---|---|
| Former Name | CHELSEA A VAN DYKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ND PAC0762) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SD 1012) |
| 363A00000X Physician Assistant (Licence: MN 12887) | |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2025-02-26 |