NPI | 1487270112 |
---|---|
Former Name | CHANDLER KNIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 2020011123) |
Enumeration Date | 2020-06-18 |
Last Update Date | 2022-09-06 |