NPI | 1639365760 |
---|---|
Former Name | KAREN JEAN GIBSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 8978) |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2007-09-21 |
Last Update Date | 2023-04-14 |