NPI | 1700186343 |
---|---|
Former Name | SANDRA LEE GILBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3006692) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3006692) |
Enumeration Date | 2010-10-29 |
Last Update Date | 2022-01-06 |