| NPI | 1477672095 |
|---|---|
| Former Name | JILL SUSANNE GIBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT36639) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P14505) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2014-06-24 |