| NPI | 1396128369 |
|---|---|
| Former Name | ANNIE GAUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP014868) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP014868) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-09-24 |