| NPI | 1154826238 |
|---|---|
| Former Name | GINA LYNN ANTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 2849) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: SC 2849) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2019-09-26 |