NPI | 1154663797 |
---|---|
Other Name | GABRIELA BOURNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421132-1) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 657829-1) |
Enumeration Date | 2013-03-21 |
Last Update Date | 2019-03-19 |