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 |