NPI | 1295789428 |
---|---|
Former Name | GILLIAN C GUNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200050079NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 096007017RN) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2015-04-09 |