NPI | 1942683651 |
---|---|
Former Name | GABRIELLE M STRIKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 4049) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA057639) |
Enumeration Date | 2015-06-30 |
Last Update Date | 2022-07-21 |