NPI | 1679011704 |
---|---|
Former Name | CHELSEA CORNETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006849A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71006849A) |
Enumeration Date | 2017-02-09 |
Last Update Date | 2022-06-16 |