| NPI | 1346664448 |
|---|---|
| Former Name | GABRIELLE STAR CRIPPEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7288) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NC P14706) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2015-06-11 |