NPI | 1558109603 |
---|---|
Former Name | KACEY CHAUX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ15070200) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR18275900) |
Enumeration Date | 2024-07-15 |
Last Update Date | 2024-07-15 |