| NPI | 1518487925 |
|---|---|
| Former Name | GABRIELLE L GLEASON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002229A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA3122) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2023-02-08 |