NPI | 1851549794 |
---|---|
Former Name | CHELSEY SHEILA BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MT 78128) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 987397) |
363A00000X Physician Assistant (Licence: UT 9533011-1206) | |
Enumeration Date | 2008-09-04 |
Last Update Date | 2021-11-18 |