NPI | 1932504032 |
---|---|
Former Name | CHELSIE JOHNSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 73754) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60626216) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: IA A120865) | |
Enumeration Date | 2014-10-31 |
Last Update Date | 2025-07-03 |