NPI | 1104811363 |
---|---|
Former Name | DEBRA LYNN BEZAIRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WR1000X Registered Nurse, Reproductive Endocrinology/Infertility (Licence: MI 4704141114) |
Enumeration Date | 2005-09-14 |
Last Update Date | 2007-07-08 |