| NPI | 1619867975 |
|---|---|
| Former Name | CHELSEA BROOKE WIEDENFELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95306327) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 959095) |
| Enumeration Date | 2025-07-08 |
| Last Update Date | 2025-07-08 |