| NPI | 1811248651 |
|---|---|
| Former Name | JENNIFER S GIBBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IL 209009760) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2020010760) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2022-05-19 |