NPI | 1063857712 |
---|---|
Former Name | GABRIELA RAQUEL GAMBETTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201505442NP-PP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 20443) |
Enumeration Date | 2013-05-08 |
Last Update Date | 2018-12-27 |