NPI | 1700256534 |
---|---|
Former Name | ALISON FAYE CHANDLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8873) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172960) |
Enumeration Date | 2015-10-06 |
Last Update Date | 2019-03-12 |