| NPI | 1174559157 |
|---|---|
| Former Name | DENISE MICHELE RANDLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR1000X Registered Nurse, Reproductive Endocrinology/Infertility (Licence: CA 275890) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 275890) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MA 264283) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2007-07-09 |