| NPI | 1497398721 |
|---|---|
| Former Name | BROOKE ALEXA GABANY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 3354) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC MPA.3354PA) |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2020-11-18 |