| NPI | 1932653920 |
|---|---|
| Former Name | MARIA THERESA GELOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9264424) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95004603) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2018-06-16 |