| NPI | 1144856980 |
|---|---|
| Former Name | CHELSEA E BOOMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2023035774) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2020008019) |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2024-04-02 |