Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 201896 | LA |
Y | 111NI0900X | Internist | 201896 | LA |
N | 208000000X | Pediatrician | MD201896 | LA |
NPI | 1003906298 |
---|---|
Provider Name | Dr. Princess Eronmwon Dennar |
First Address | New Orleans, LA 70112-2632 |
Second Address | New Orleans, LA 70112-2632 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 17/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1104647 | (05) | LA |