NPI | 1538540414 |
---|---|
Professional Name | MARCI MARY GILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: AZ 554) |
Additional Taxonomies | 125J00000X Dental Therapist (Licence: AZ 554) |
125Q00000X Oral Medicine (Licence: AZ 554) | |
225100000X Physical Therapist | |
Enumeration Date | 2015-06-16 |
Last Update Date | 2022-07-21 |