NPI | 1699115394 |
---|---|
Former Name | ABBY E. GERDES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 8481) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 111513) |
Enumeration Date | 2013-06-27 |
Last Update Date | 2020-12-09 |