| NPI | 1952672057 |
|---|---|
| Former Name | CHELSIE M. DUNDERLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NM PA2021-0056) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 5464) |
| 363AS0400X Physician Assistant, Surgical (Licence: NV PA1355) | |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2021-08-25 |