Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LG0600X | Nurse Practitioner - Gerontology | 95012454 | CA |
NPI | 1003475286 |
---|---|
Provider Name | Mrs. Karima Gulwani |
First Address | Long Beach, CA 90810 |
Second Address | Los Angeles, CA 90013-2606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2019 |
Last Update Date | 22/10/2021 |