| NPI | 1902174717 |
|---|---|
| Former Name | JACQUELINE GERBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Z00000X Orthotist (Licence: TX 1577) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: TX 1577) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2013-06-17 |