| NPI | 1790157428 | 
|---|---|
| Former Name | ABBY GIBBONS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD AC002641)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-1989)  | 
| Enumeration Date | 2015-10-21 | 
| Last Update Date | 2023-12-05 |