NPI | 1497265391 |
---|---|
Former Name | GABRIELLE R SOMMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1435) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA059363) |
Enumeration Date | 2017-10-05 |
Last Update Date | 2019-02-14 |