| NPI | 1720547417 |
|---|---|
| Former Name | SINEAD DEIRDRE CHISA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110006585) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WV 2244) |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2021-03-12 |