NPI | 1922472224 |
---|---|
Former Name | CHELSEA ALIDA SNYDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 019068) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: NY 019068-1) |
Enumeration Date | 2015-11-24 |
Last Update Date | 2021-05-18 |