NPI | 1942594684 |
---|---|
Former Name | CHELSEA NICOLE COSBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD042349) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD d0080314) |
Enumeration Date | 2011-05-28 |
Last Update Date | 2022-09-26 |