NPI | 1174765291 |
---|---|
Former Name | MARY J CHAPEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 145910) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209008143) |
Enumeration Date | 2009-04-03 |
Last Update Date | 2016-07-22 |