| NPI | 1932670825 |
|---|---|
| Former Name | CHANDLER BURGHARDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: NY 759948) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2022-09-21 |