| NPI | 1891371514 |
|---|---|
| Former Name | STEPHANIE A GIBBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 376J00000X Homemaker |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2021-03-23 |