NPI | 1295399178 |
---|---|
Former Name | JACLYN MARY SERAFIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IN 209.019158) |
Enumeration Date | 2019-04-26 |
Last Update Date | 2022-09-28 |