| NPI | 1578970216 |
|---|---|
| Former Name | SHELBIE RENEE GERKEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-116167) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-116167) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2016-01-13 |