| NPI | 1982060166 |
|---|---|
| Former Name | MICHELLE M. GERARDOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN253543) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN253543) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2018-03-17 |