NPI | 1942461884 |
---|---|
Former Name | KIRSTEN INGLEE GIBBS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX N8049) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX TMB N8049) |
Enumeration Date | 2008-06-23 |
Last Update Date | 2014-01-31 |