NPI | 1609300102 |
---|---|
Former Name | ANGEL CHAMBERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1024242) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 13441) |
Enumeration Date | 2017-04-12 |
Last Update Date | 2024-10-29 |