NPI | 1760051742 |
---|---|
Former Name | LEAH MELISA GIBSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC RN204838) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA rn95166838) |
363L00000X Nurse Practitioner (Licence: FL APRN110221363) | |
363L00000X Nurse Practitioner (Licence: FL 110221363) | |
Enumeration Date | 2021-06-23 |
Last Update Date | 2024-08-02 |