| NPI | 1487279980 |
|---|---|
| Former Name | CARLI D CHANDLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71010072A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71010072A) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 28222545A) | |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2023-07-26 |