| NPI | 1598738635 |
|---|---|
| Former Name | TRINA GEBAUER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085002304) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 001563) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2014-01-15 |