NPI | 1083128573 |
---|---|
Other Name | CHLOE ALICE JEAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN36735) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW14823) |
207QA0505X Family Medicine, Adult Medicine (Licence: FL ME175814) | |
Enumeration Date | 2017-11-20 |
Last Update Date | 2025-09-03 |