| NPI | 1205030020 |
|---|---|
| Former Name | JENEE' JERI' GIBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: TX P5180) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2013-01-22 |