NPI | 1043429590 |
---|---|
Former Name | ELAINE JUSTINE PAUL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NJ 26NJ00338700) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SP007961) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2024-08-20 |