| NPI | 1699045252 |
|---|---|
| Former Name | CHAUNDRA RENAE PASSEHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CA NP21154) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2022-03-23 |