NPI | 1770078438 |
---|---|
Former Name | KATELYN CHAPMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R234867) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R234867) |
Enumeration Date | 2018-06-26 |
Last Update Date | 2021-01-22 |