| NPI | 1558147090 |
|---|---|
| Former Name | CHELSEA BOSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10004312A) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2024-04-16 |