| NPI | 1306049267 |
|---|---|
| Former Name | MARY CHRISTINE TIBBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MN 191418-2) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP17231) |
| 163W00000X Registered Nurse (Licence: CA RN698472) | |
| 163W00000X Registered Nurse (Licence: MN 191418-2) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2018-08-23 |