| NPI | 1720415581 |
|---|---|
| Former Name | SALLY ANN CHEZEM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5478-33) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 5478-33) |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2023-07-12 |