| NPI | 1134576226 |
|---|---|
| Former Name | HEATHER MARIE GIBBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019305) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.351109) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2020-07-02 |