NPI | 1568793404 |
---|---|
Former Name | KARI GERDES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AK 1122) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP 60415093) |
363LF0000X Nurse Practitioner, Family (Licence: AK 1122) | |
Enumeration Date | 2010-01-15 |
Last Update Date | 2020-09-17 |