| NPI | 1336642594 |
|---|---|
| Former Name | CHERYL RENEE GORDON-ZUPANCIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024175916) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |