NPI | 1871031914 |
---|---|
Former Name | KATHRYN ANN GERBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 53340) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM R65507) |
Enumeration Date | 2017-02-09 |
Last Update Date | 2019-10-24 |