| NPI | 1043795099 |
|---|---|
| Former Name | GABRIELLA ANDREWS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MI 2601002203) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2021-12-09 |