| NPI | 1053514711 |
|---|---|
| Former Name | EILEEN POLT FITZPATRICK |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SP002251G) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2007-07-08 |