| NPI | 1396156675 |
|---|---|
| Former Name | CHELSEA LYNN BERDAHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-13174) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MRM-1389) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2023-12-15 |