NPI | 1669635868 |
---|---|
Former Name | MARGARET I GILGENBACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 2298) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: WI 2298-23) |
Enumeration Date | 2008-07-08 |
Last Update Date | 2014-05-02 |