NPI | 1588191332 |
---|---|
Former Name | CHELSEA BODINKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71007163A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28223332A) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2022-10-10 |