| NPI | 1942246608 |
|---|---|
| Other Name | SUSAN ELAINE GENTRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP1263962) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2008-02-21 |