NPI | 1326701301 |
---|---|
Former Name | CHELSEA BREHAUT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2301752) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2301752) |
Enumeration Date | 2021-10-18 |
Last Update Date | 2023-10-31 |