NPI | 1255724266 |
---|---|
Former Name | GAIL ANNE HERTZOG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: DE L1-0043912) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN323125L) |
Enumeration Date | 2015-03-15 |
Last Update Date | 2015-03-15 |