| NPI | 1124615653 |
|---|---|
| Former Name | CHLOE ISABEL SOUZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 202009817NP-PP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 202009817NP-PP) |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2021-03-15 |