NPI | 1346639887 |
---|---|
Former Name | MOLLY GERKEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9443960) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN231331) |
Enumeration Date | 2015-01-21 |
Last Update Date | 2021-02-16 |