| NPI | 1770596363 |
|---|---|
| Former Name | SUSAN D GIBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2002027720) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KS 1239) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2022-07-21 |