| NPI | 1770793424 |
|---|---|
| Former Name | CHARLIE L. GAEBLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: WI 44220-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 44220) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2023-03-07 |