| 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 |