NPI | 1710613922 |
---|---|
Former Name | CHELSEA ROSE PITTMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0997756-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1637870) |
Enumeration Date | 2022-07-29 |
Last Update Date | 2022-07-29 |