| NPI | 1043342884 |
|---|---|
| Former Name | NOELLE EMI GIBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 095000173N2) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 095000173RN) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2016-01-14 |