| NPI | 1659943926 |
|---|---|
| Former Name | CHELSEA MARIE LANGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0030653) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH LE-00037521) |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2022-05-19 |