NPI | 1972046860 |
---|---|
Former Name | LINDSAY MICHELLE CHICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.006002) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 5584-23) |
Enumeration Date | 2016-11-23 |
Last Update Date | 2021-09-23 |