| NPI | 1477757425 |
|---|---|
| Former Name | JENNIE LYNN OBRIEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 268683) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101242245) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2022-07-21 |