| NPI | 1093071961 |
|---|---|
| Former Name | JOANN POOLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0001222851) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0024170055) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2020-10-16 |