NPI | 1013377464 |
---|---|
Former Name | JOSEPHINE GIBBS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ F0216577) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00631700) |
Enumeration Date | 2016-02-28 |
Last Update Date | 2021-07-06 |