| NPI | 1225551427 |
|---|---|
| Former Name | KELLY DIANE GERKEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61640108) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2025-06-19 |