NPI | 1336503457 |
---|---|
Former Name | KELLY L GILBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AR A004821) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60910189) |
363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP60910189) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60910189) | |
Enumeration Date | 2016-04-06 |
Last Update Date | 2023-02-13 |