| NPI | 1104855360 |
|---|---|
| Former Name | NATALIE GUTLEBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C04753) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA052318) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2016-05-26 |