| NPI | 1265633234 |
|---|---|
| Former Name | GWENITH CHRISTINE MARCOU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 201150135NP) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2013-06-17 |