NPI | 1871794990 |
---|---|
Former Name | DANA CHAPMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005528) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002399A) |
363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3005528) | |
Enumeration Date | 2007-05-29 |
Last Update Date | 2023-10-06 |