| NPI | 1972001824 |
|---|---|
| Former Name | CHANTELLE HEATHER DRAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175828) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024175828) |
| 163W00000X Registered Nurse (Licence: VA 0001222470) | |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2025-10-17 |