| NPI | 1114475605 |
|---|---|
| Former Name | GRETCHEN DIANE HUHNERKOCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-06783) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2024-05-13 |