| NPI | 1790861896 |
|---|---|
| Former Name | JAIME RYAN CHANDLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA301) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110003208) |
| 363A00000X Physician Assistant (Licence: ME PA1332) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-07-14 |