| NPI | 1649705492 |
|---|---|
| Former Name | MAGGIE GERK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO219284) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WY 14735A) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2024-10-14 |