NPI | 1790349330 |
---|---|
Former Name | CHANDLER BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 3263) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2019-04-29 |
Last Update Date | 2019-09-26 |