| NPI | 1467715169 |
|---|---|
| Former Name | SHEENA GIBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036136764) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: IL 036136764) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2018-03-21 |