| NPI | 1457673915 |
|---|---|
| Other Name | GINA MARIE THEROUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 4580) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AZ 4580) |
| 363A00000X Physician Assistant (Licence: AZ 4580) | |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2024-12-23 |