| NPI | 1457072795 | 
|---|---|
| Former Name | DEANNA GUTIERREZ | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71013027A) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71013027A) | 
| 163W00000X Registered Nurse (Licence: IN 28250935A) | |
| Enumeration Date | 2022-09-06 | 
| Last Update Date | 2024-09-27 |