| NPI | 1053611939 |
|---|---|
| Former Name | KATHRYN M GILBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA055027) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00247000) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2014-07-18 |