NPI | 1730763335 |
---|---|
Former Name | CHELSEA ANN HERRERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 7997272-4405) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: UT 7997272-3102) |
363LF0000X Nurse Practitioner, Family (Licence: UT 7997272-4405) | |
Enumeration Date | 2021-05-10 |
Last Update Date | 2022-09-30 |