| NPI | 1912400425 |
|---|---|
| Former Name | CHELSIE LYNN EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2021038911) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA56548) |
| Enumeration Date | 2018-03-10 |
| Last Update Date | 2021-11-01 |