| NPI | 1265480537 |
|---|---|
| Former Name | SALLY J GILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 997) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 076029) |
| 363AS0400X Physician Assistant, Surgical (Licence: NE 997) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-12-31 |