NPI | 1730712266 |
---|---|
Professional Name | GAYLE MATSUMURO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 26983) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 64061) |
Enumeration Date | 2020-02-12 |
Last Update Date | 2020-04-24 |