| NPI | 1962997650 |
|---|---|
| Former Name | CHELSEA LYNN CALLAHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9117653) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX PA11842) |
| 363A00000X Physician Assistant (Licence: ND PAC0860) | |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2023-10-06 |