NPI | 1033307723 |
---|---|
Former Name | JACQUELINE FISHBEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SP007193) |
Enumeration Date | 2007-10-09 |
Last Update Date | 2014-08-25 |