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 |