NPI | 1366584195 |
---|---|
Former Name | CHANTAL D SIMPSON-GABRIEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: NJ 25MA07511100) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA07511100) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2024-04-06 |