| NPI | 1912214800 |
|---|---|
| Former Name | KATHLEEN ANNE GIFFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI NPP37564) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI 363LG0600K) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2024-05-29 |