| NPI | 1073693206 |
|---|---|
| Former Name | SANDRA GASS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN12432) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TN APN12432) |
| 363L00000X Nurse Practitioner (Licence: GA RN083514) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-07 |