NPI | 1063831402 |
---|---|
Former Name | MERRITT ELISE BRESNAHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 28815) |
Additional Taxonomies | 208D00000X General Practice (Licence: NE 28815) |
Enumeration Date | 2014-04-14 |
Last Update Date | 2024-09-17 |