Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND-318 | CA |
N | 176B00000X | Midwife | LM243 |
NPI | 1164619904 |
---|---|
Provider Name | Dr. Michelle Marie Gerber |
First Address | Los Angeles, CA 90031-1108 |
Second Address | Los Angeles, CA 90064-1608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2007 |
Last Update Date | 21/08/2013 |