NPI | 1154522134 |
---|---|
Former Name | MARCIA A POULIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NV APN 000868) |
Enumeration Date | 2007-05-29 |
Last Update Date | 2012-09-10 |