Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 0102201793 | VA |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 0102201793 | VA |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | DO034517 | DC |
NPI | 1528023249 |
---|---|
Provider Name | Dr. Jennifer Mary Lee Gerhard |
First Address | Washington, DC 20001-1565 |
Second Address | Washington, DC 20001-1565 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2006 |
Last Update Date | 21/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I43389 | (02) |