NPI | 1841476363 |
---|---|
Former Name | GENEVA CHASTANET |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704302911) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN 298606) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.022197) | |
Enumeration Date | 2008-01-15 |
Last Update Date | 2024-10-09 |