NPI | 1376078436 |
---|---|
Former Name | CHELSEE L HALSETH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 7449) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1629026) |
Enumeration Date | 2017-04-26 |
Last Update Date | 2020-07-07 |