| NPI | 1962689703 |
|---|---|
| Former Name | JENNIFER ANN GIBBONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 25 003745) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PA OM000319) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2023-11-24 |