NPI | 1548525504 |
---|---|
Former Name | CHELSEY MORGAN SCHRAMM TROUT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AR PT-1528) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085-004341) |
363AM0700X Physician Assistant, Medical (Licence: CO 3674) | |
Enumeration Date | 2012-07-05 |
Last Update Date | 2024-04-03 |