NPI | 1811691371 |
---|---|
Former Name | GERRICA WAID |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AR 223726) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AR 223726) |
Enumeration Date | 2023-03-29 |
Last Update Date | 2023-10-25 |