| NPI | 1730542648 |
|---|---|
| Former Name | ASHLEY GIBBONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0088846) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD21001284) |
| 208000000X Pediatrics (Licence: NY 300196) | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2023-08-15 |