| NPI | 1639114028 |
|---|---|
| Former Name | GAYLE E VANDERFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 092000184N3) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR 092000184) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2023-10-05 |