| NPI | 1780197673 |
|---|---|
| Former Name | GABRIELLE C BATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002876A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00454900) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2023-01-11 |