NPI | 1568425973 |
---|---|
Former Name | PAIGE CHAPMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MI 5601004610) |
Enumeration Date | 2006-04-07 |
Last Update Date | 2017-07-10 |