| NPI | 1245612720 |
|---|---|
| Former Name | CHELSEA CAITLYN NIPPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704278853) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704278853) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-10-30 |