NPI | 1598123218 |
---|---|
Former Name | CHELSEA CHERIE CONWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9310381) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9310381) |
Enumeration Date | 2016-02-09 |
Last Update Date | 2016-04-12 |