NPI | 1104485713 |
---|---|
Former Name | CELSEY GURLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11002544) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: FL 11002544) |
Enumeration Date | 2019-06-07 |
Last Update Date | 2024-07-24 |