| NPI | 1659733731 |
|---|---|
| Former Name | TERA GERICKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 54686) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016009388) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-77233-122) | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2022-02-10 |