| NPI | 1528453933 |
|---|---|
| Former Name | CONNIE CHITWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN118797) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN118797) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2024-09-25 |