Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0300X | Geriatric Medicine | MD027010E | PA |
Y | 207RH0002X | Hospice and Palliative Medicine | 167947 | NC |
NPI | 1396787719 |
---|---|
Provider Name | Dr. Genevieve Anne Wroblewski |
First Address | Ellicott City, MD 21042-2274 |
Second Address | High Point, NC 27262-7009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2006 |
Last Update Date | 10/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B41994 | (02) | PA |