| 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 |