| NPI | 1699001354 |
|---|---|
| Former Name | SERANA LYZANNE MARIE SPALDING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5004540) |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2015-12-31 |