NPI | 1710285051 |
---|---|
Former Name | HEATHER SUZANNAH CHAPMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 2152) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9105873) |
363A00000X Physician Assistant (Licence: SD 0821) | |
Enumeration Date | 2011-03-10 |
Last Update Date | 2022-01-25 |