NPI | 1861715310 |
---|---|
Former Name | CHELSEA LUNDSTROM WOODS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60135343) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA.60135343) |
Enumeration Date | 2010-03-11 |
Last Update Date | 2020-12-02 |