NPI | 1164762167 |
---|---|
Former Name | SUZAN EILEEN GERLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171000000X Military Health Care Provider (Licence: MI 5101020277) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 16749) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-02-27 |
Last Update Date | 2021-11-03 |