| NPI | 1831109040 |
|---|---|
| Former Name | MARY LEE GIBBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA 166065) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-07-08 |