| NPI | 1942715693 |
|---|---|
| Former Name | GABRIELLE DIEZ ARGUELLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 0126002860) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2024-10-15 |