| NPI | 1316194939 |
|---|---|
| Former Name | GEORGIA L GIBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP118602) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN044020) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2024-01-30 |