| NPI | 1942714571 |
|---|---|
| Former Name | KELLY CHANDLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61004254) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60291128) |
| 363LF0000X Nurse Practitioner Family (Licence: WA AP61004254) | |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2020-10-07 |