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 |