NPI | 1558626051 |
---|---|
Former Name | CHELSEY DIANNE SPARGO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9282050) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9282050) |
Enumeration Date | 2012-07-10 |
Last Update Date | 2016-09-27 |