NPI | 1801489133 |
---|---|
Former Name | CHELSEA DEMURA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704318851) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704318851) |
Enumeration Date | 2021-02-17 |
Last Update Date | 2024-06-04 |