| NPI | 1083816946 |
|---|---|
| Former Name | REGINA IMARI SANDERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9327002) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F3405331) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2021-11-13 |