NPI | 1619459906 |
---|---|
Former Name | CHELSEA FRITZSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0997416-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 12.007818) |
Enumeration Date | 2018-09-03 |
Last Update Date | 2024-01-30 |