NPI | 1659541738 |
---|---|
Former Name | GLORIA LYNN BANDONI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 9009) |
Additional Taxonomies | 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: CA 9009) |
Enumeration Date | 2008-03-05 |
Last Update Date | 2017-11-17 |