Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 057246 | CT |
N | 207VG0400X | Gynecologist | 057246 | CT |
NPI | 1811330699 |
---|---|
Provider Name | Elisabeth Christine Sappenfield |
First Address | Hartford, CT 06102-5037 |
Second Address | Hartford, CT 06102-8000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2013 |
Last Update Date | 24/06/2021 |