| NPI | 1083083117 |
|---|---|
| Former Name | CALLA ROSE SANDERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: SC 19752) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: TN 187636) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: SC 19752) | |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2021-08-23 |