| NPI | 1053750315 |
|---|---|
| Former Name | JANET M GIBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-125075) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-125075) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2024-12-16 |