| NPI | 1417046319 |
|---|---|
| Former Name | GINA CALABRESE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 3107) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-000988) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2021-09-16 |