| NPI | 1134460207 |
|---|---|
| Former Name | GANIELLE CHAPPELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN271087) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD 20171710) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2018-09-20 |