| NPI | 1093140550 |
|---|---|
| Former Name | GAYLE LAUREN KRESGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR 181283) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 002442) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2021-02-01 |