| NPI | 1669745469 |
|---|---|
| Former Name | DANIELLE KATHRYN GIPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA164124) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2018-03-17 |