| NPI | 1003673104 |
|---|---|
| Former Name | GABRIELLE MARIE WEBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 14888-33) |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2025-03-05 |