NPI | 1568683514 |
---|---|
Former Name | MARIANNE GILBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50002079) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH 4942) |
363AM0700X Physician Assistant, Medical (Licence: OH 50002079) | |
Enumeration Date | 2007-05-01 |
Last Update Date | 2017-01-19 |