NPI | 1457180291 |
---|---|
Former Name | CHELSEA BARBARA PHAN GUARCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AK 226444) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK NURR38342) |
Enumeration Date | 2024-07-30 |
Last Update Date | 2024-07-30 |