| NPI | 1699184358 |
|---|---|
| Former Name | CHASE E CHARWAT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 55368) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA1480) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2023-05-25 |