NPI | 1184082349 |
---|---|
Former Name | CARA THURLOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00772700) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP015811) |
Enumeration Date | 2016-02-03 |
Last Update Date | 2017-12-21 |