NPI | 1154080745 |
---|---|
Former Name | CHLOE MARINA RODENGEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61185936) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61185936) |
Enumeration Date | 2021-12-11 |
Last Update Date | 2022-01-26 |