NPI | 1982072054 |
---|---|
Former Name | CHANDLER LEANN JARVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: OH APRN.CNP.18260) |
Enumeration Date | 2015-09-08 |
Last Update Date | 2021-02-12 |