| NPI | 1952710428 |
|---|---|
| Former Name | SANDRA D GILMORE, CONKLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014085) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID NP58024) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2024-03-21 |