| NPI | 1265820021 |
|---|---|
| Former Name | CHELSEA AMANDA COUCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041.401130) |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2015-01-02 |