NPI | 1487675906 |
---|---|
Professional Name | GRETCHEN GIBSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2023004757) |
Additional Taxonomies | 122300000X Dentist (Licence: AR 2927) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2023-08-02 |