NPI | 1760615074 |
---|---|
Former Name | CHELSEA J GOLDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP000563) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0108558) |
363LF0000X Nurse Practitioner, Family (Licence: SD CP000563) | |
Enumeration Date | 2009-09-02 |
Last Update Date | 2022-12-22 |