| NPI | 1609375005 |
|---|---|
| Former Name | CHELSIE MARIE SUTTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 112406) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-02-12 |