NPI | 1710433065 |
---|---|
Former Name | LINDA CHANG SCHELLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: NC 001006537) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 001006537) |
Enumeration Date | 2016-08-28 |
Last Update Date | 2021-09-21 |