| NPI | 1962690214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE M WERTH Office Manager 716-297-9379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |