| NPI | 1588210777 |
|---|---|
| Former Name | JENNIFER ANN GIBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 8324187-4405) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: UT 8324187-4405) |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2025-06-16 |