# GABRIELA DE VITA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1821600180
- **Gender:** F
- **Credential:** PHYSICIAN ASSISTANT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 5601010121 | MI | — |
| 363A00000X | Physician Assistant | PA16623 | TX | Yes |

## Other

- **Enumeration date:** 08/18/2020
- **Last updated:** 09/23/2026