| NPI | 1194069948 |
|---|---|
| Former Name | LEAH SUZANNE GIBBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: TN APN0000012736) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: GA RN112452) |
| Enumeration Date | 2012-11-18 |
| Last Update Date | 2012-11-18 |