| NPI | 1750342952 |
|---|---|
| Former Name | KEBAI DAWN GAMBLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ID 520) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: ID PA520) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2023-03-07 |