| NPI | 1003950148 |
|---|---|
| Former Name | DINA L GILLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R173381) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 2805892) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2007-07-08 |