NPI | 1487182697 |
---|---|
Other Name | STACEY E GERSHMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71015013A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN217846) |
Enumeration Date | 2017-06-01 |
Last Update Date | 2024-10-16 |