| NPI | 1962763573 |
|---|---|
| Former Name | NORRIECE LIANA GIBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101261776) |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: VA 0101261776) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2022-12-13 |