NPI | 1780210039 |
---|---|
Former Name | SHOSHANA STONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95012859) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95012859) |
Enumeration Date | 2020-03-19 |
Last Update Date | 2024-08-15 |