| NPI | 1568028611 |
|---|---|
| Former Name | SIERRA GIVENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: LA 206202) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA 206202) |
| 163W00000X Registered Nurse (Licence: LA RN128207) | |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2022-06-13 |