| NPI | 1558990432 |
|---|---|
| Professional Name | LAWANDA DASHAWN GIBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MI 4703119637) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 166730) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-03 |