| NPI | 1760665459 |
|---|---|
| Former Name | GIA FREEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AL .821) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA052202) |
| 363A00000X Physician Assistant (Licence: GA 006451) | |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2018-01-29 |