NPI | 1205589520 |
---|---|
Former Name | JOAN PATRICIA GUL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95019823) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95019823) |
Enumeration Date | 2022-01-27 |
Last Update Date | 2022-05-10 |