NPI | 1306276225 |
---|---|
Former Name | JENNIFER FERTIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME117603) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME117603) |
Enumeration Date | 2013-11-13 |
Last Update Date | 2020-09-03 |