NPI | 1740768621 |
---|---|
Former Name | CHELSEA FRANKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA059964) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2018-08-01 |
Last Update Date | 2022-03-28 |