NPI | 1649899071 |
---|---|
Former Name | CHELSEA HANCOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024187739) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95015164) |
Enumeration Date | 2020-04-15 |
Last Update Date | 2025-02-19 |