| 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 |