| NPI | 1780652560 |
|---|---|
| Former Name | GENEVIEVE KATHLEEN HERRMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 124488) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 45012) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2024-04-29 |