| 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 |