| NPI | 1053614354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNOLD M. POOLE Authorized Signator 800-243-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-15 |