| NPI | 1285919399 |
|---|---|
| Former Name | DOROTHY ANN GILBERTSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 014987-1) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601006932) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2022-11-15 |