NPI | 1124459854 |
---|---|
Former Name | GABRIELLA DOGNILLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601010005) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA056566) |
Enumeration Date | 2013-12-05 |
Last Update Date | 2024-02-14 |