NPI | 1841734985 |
---|---|
Former Name | POONAM GANDHI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95005624) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95005624) |
Enumeration Date | 2016-12-08 |
Last Update Date | 2019-02-04 |