NPI | 1851541528 |
---|---|
Former Name | CORI LYNN CHAPMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA0004133) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: 1084937) |
363A00000X Physician Assistant (Licence: AL 843) | |
Enumeration Date | 2008-09-30 |
Last Update Date | 2016-07-27 |