| NPI | 1215967849 |
|---|---|
| Former Name | GINA M. BAILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 15-00947) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: KS 0425245) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2022-06-01 |