NPI | 1831375039 |
---|---|
Former Name | DENNIFER D MAYO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP 3019442) |
Enumeration Date | 2008-01-17 |
Last Update Date | 2015-11-17 |