| NPI | 1316343890 |
|---|---|
| Other Name | DUSTY GIBBS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 19528) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 170526) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2015-01-26 |