NPI | 1538374798 |
---|---|
Former Name | DEBORAH GUNNING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC 25371) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA SP007302) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP007302) | |
Enumeration Date | 2007-05-11 |
Last Update Date | 2022-08-29 |