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 |