| NPI | 1568616746 |
|---|---|
| Former Name | JULIANN GAYDOS-GABRIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2019-02383) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60020674) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2021-05-11 |