| NPI | 1013696798 |
|---|---|
| Former Name | JACLYN GERARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4008949) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: KY 1138276) |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2024-06-25 |