NPI | 1962283200 |
---|---|
Former Name | GABRIELLE HOPE GEVERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL 9120015) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2023-10-12 |
Last Update Date | 2025-05-12 |