NPI | 1831565886 |
---|---|
Former Name | CHELSEA RAE JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704279034) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704279034) |
Enumeration Date | 2015-08-13 |
Last Update Date | 2023-11-14 |