| NPI | 1891788709 |
|---|---|
| Former Name | LAVERNE E. GIBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ 25MA08608900) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NJ 25MA08608900) |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2016-12-21 |