| NPI | 1689959355 |
|---|---|
| Former Name | CHELSEA ANNE SPRAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA055264) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C0005768) |
| 363AM0700X Physician Assistant, Medical (Licence: VA 0110005346) | |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2021-09-08 |