| 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 |