NPI | 1043496748 |
---|---|
Former Name | GAYLE SNODGRASS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001675a) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71001675A) |
363LF0000X Nurse Practitioner, Family (Licence: IN 71001675) | |
Enumeration Date | 2008-01-14 |
Last Update Date | 2019-01-26 |