NPI | 1124211073 |
---|---|
Other Name | KELLEY I GIBBS-BUDD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71000761A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28123190A) |
Enumeration Date | 2007-08-23 |
Last Update Date | 2023-10-10 |