NPI | 1639474455 |
---|---|
Former Name | JUDY ANNE ROCHELLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: GA RN121323 NP) |
Enumeration Date | 2011-01-26 |
Last Update Date | 2011-01-26 |