NPI | 1831320175 |
---|---|
Former Name | BRITTANY DIONNE CHANDLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-109906) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-109906) |
363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-109906) | |
Enumeration Date | 2009-08-04 |
Last Update Date | 2022-01-22 |