NPI | 1326397506 |
---|---|
Former Name | MARGUERITTE L CHANDLER-BOONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024170301) |
Enumeration Date | 2012-09-05 |
Last Update Date | 2023-01-03 |