NPI | 1295461101 |
---|---|
Former Name | GABRIELLA DYBAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CT 6222) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2022-07-25 |
Last Update Date | 2025-02-26 |