| NPI | 1699160804 |
|---|---|
| Former Name | GABRIELLE ELISE CERVONI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 274853) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: MA 274853) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2024-08-27 |