NPI | 1235114539 |
---|---|
Former Name | GAIL IRENE GRESENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 64324) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA08290300) |
Enumeration Date | 2005-12-08 |
Last Update Date | 2021-10-27 |