NPI | 1821631631 |
---|---|
Former Name | AMBER RENEE GABOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R234353) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP021405) |
Enumeration Date | 2019-10-24 |
Last Update Date | 2021-04-08 |