| NPI | 1457504359 |
|---|---|
| Former Name | GRETCHEN LYNNE KLINGLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: PA MA053513) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: DE C5-0000640) |
| 363A00000X Physician Assistant (Licence: PA OA002660) | |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2024-01-04 |