| NPI | 1265702377 |
|---|---|
| Former Name | DEVON LISA GERSHANECK BA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0990596-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 990596) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2018-10-17 |