| NPI | 1508940115 |
|---|---|
| Former Name | DEBRA BINGHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 5953) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 358839) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2011-11-23 |